<![CDATA[ABSTRAK Latar Belakang: Pasien gagal ginjal kronik yang menjalani hemodialisis sering mengalami kecemasan akibat ketergantungan pada mesin dialisis, perubahan gaya hidup, dan kekhawatiran terhadap penyakit, yang dapat memengaruhi kualitas tidur serta kondisi fisik, psikologis, sosial, dan kualitas hidup pasien.Tujuan: mengetahui hubungan antara tingkat kecemasan dengan kualitas tidur pada pasien gagal ginjal kronik yang menjalani hemodialisis di RSUD Dr. Drajat Prawiranegara Kota Serang. Metode: Penelitian ini menggunakan desain kuantitatif dengan pendekatan cross sectional. Sampel diambil menggunakan teknik purposive sampling dengan jumlah 70 responden. Instrumen yang digunakan adalah Hamilton Anxiety Rating Scale (HARS) untuk mengukur tingkat kecemasan dan Pittsburgh Sleep Quality Index (PSQI) untuk menilai kualitas tidur. Analisis data dilakukan menggunakan uji Chi-Square untuk mengetahui hubungan antara kedua variabel. Hasil: Hasil penelitian menunjukkan mayoritas responden mengalami kecemasan ringan–berat dan kualitas tidur buruk. Uji Chi-Square menunjukkan p-value = 0,001 (p < 0,05), yang menandakan adanya hubungan bermakna, di mana semakin tinggi kecemasan semakin buruk kualitas tidur pasien. Kesimpulan:Terdapat hubungan antara tingkat kecemasan dan kualitas tidur pada pasien gagal ginjal kronik yang menjalani hemodialisis. Mayoritas pasien mengalami kecemasan ringan–berat dengan kualitas tidur yang buruk, di mana semakin tinggi kecemasan semakin buruk kualitas tidur. Kata kunci: Gagal ginjal kronik, hemodialisis, kecemasan, kualitas tidur. ABSTRACT Background: Chronic kidney failure patients undergoing hemodialysis often experience anxiety due to dependence on the dialysis machine, lifestyle changes, and worries about the disease, which can affect the quality of sleep as well as the physical, psychological, social conditions and quality of life of the patient. Objective: To determine the relationship between anxiety levels and sleep quality in chronic kidney failure patients undergoing hemodialysis at Dr. Drajat Prawiranegara Regional Hospital, Serang City. Methods: This study employed a quantitative design with a cross-sectional approach. A purposive sampling technique was used to select 70 respondents. The instruments used were the Hamilton Anxiety Rating Scale (HARS) to measure anxiety levels and the Pittsburgh Sleep Quality Index (PSQI) to assess sleep quality. Data analysis was performed using the Chi- Square test to determine the relationship between the two variables. Results: The results showed that the majority of respondents experienced mild to severe anxiety and poor sleep quality. The chi-square test showed a p-value of 0.001 (p < 0.05), indicating a significant relationship, with higher anxiety levels contributing to poorer sleep quality. Conclusion: There is a relationship between anxiety levels and sleep quality in patients with chronic kidney disease undergoing hemodialysis. The majority of patients experience mild to severe anxiety with poor sleep quality, with higher anxiety levels contributing to poorer sleep quality. Keywords: Chronic kidney disease, hemodialysis, anxiety, sleep quality Quality]]>
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